MEDIVATOR VERISCAN LEAK TESTER VERISCAN LT VER-LT

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-01-16 for MEDIVATOR VERISCAN LEAK TESTER VERISCAN LT VER-LT manufactured by Medivators Inc..

Event Text Entries

[176020017] There have been two recent incidents of endoscopes that passed automated leak testing, quality checks, and appropriate high-level disinfection that were found to have residual fluid. These scopes were found to have leaks when inspected by the mfr. Flexible scopes found to pass automated veriscan leak test but failed when manually checked and contained leaks when inspected by oem. Fda safety report id# (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5092340
MDR Report Key9601618
Date Received2020-01-16
Date of Report2020-01-15
Date Added to Maude2020-01-17
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Sequence Number: 1

Brand NameMEDIVATOR VERISCAN LEAK TESTER
Generic NameBULB, INFLATION, FOR ENDOSCOPE
Product CodeFCY
Date Received2020-01-16
Returned To Mfg2020-01-14
Model NumberVERISCAN LT
Catalog NumberVER-LT
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerMEDIVATORS INC.
Manufacturer AddressMN US

Device Sequence Number: 2

Brand NameMEDIVATOR VERISCAN LEAK TESTER
Generic NameBULB, INFLATION, FOR ENDOSCOPE
Product CodeFCY
Date Received2020-01-16
Model NumberVERISCAN LT
Catalog NumberVER-LT
Device Availability*
Device Eval'ed by MfgrI
Device Sequence No2
Device Event Key0
ManufacturerMEDIVATORS INC.
Manufacturer AddressMN US


Patients

Patient NumberTreatmentOutcomeDate
10 2020-01-16

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